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CHIROPRACTIC CAREERS

submitted by New York Chiropractic College

The chiropractic field is growing at a phenomenal rate, as people expect their health care providers to treat the causes rather than the symptoms of ailments. The chiropractic profession is concerned with the diagnosis, treatment, and prevention of disorders of the neuromusculoskeletal system, and the effects these disorders have on the nervous system and health in general.

Here is some information on what you can expect in a chiropractic career from the Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2004-05 Edition:

Significant Points

• Chiropractors must be licensed, requiring 2 to 4 years of undergraduate education, completion of a 4-year chiropractic college course, and passing scores on national and State examinations.
• Employment is expected to increase faster than average as a result of research and changing attitudes about alternative healthcare practices.
• Job prospects should be good; establishing a new practice will be easiest in areas with a low concentration of chiropractors.
• As with other types of independent practice, earnings for chiropractors are relatively low in the beginning, but increase as the practice grows.

Nature of the Work

Chiropractors, also known as doctors of chiropractic or chiropractic physicians, diagnose and treat patients whose health problems are associated with the body’s muscular, nervous, and skeletal systems, especially the spine. Chiropractors believe that interference with these systems impairs the body’s normal functions and lowers its resistance to disease. They also hold that spinal or vertebral dysfunction alters many important body functions by affecting the nervous system and that skeletal imbalance through joint or articular dysfunction, especially in the spine, can cause pain.

The chiropractic approach to healthcare is holistic, stressing the patient’s overall health and wellness. It recognizes that many factors affect health, including exercise, diet, rest, environment, and heredity. Chiropractors provide natural, drugless, nonsurgical health treatments and rely on the body’s inherent recuperative abilities. They also recommend changes in lifestyle—in eating, exercise, and sleeping habits, for example—to their patients. When appropriate, chiropractors consult with and refer patients to other health practitioners.

Like other health practitioners, chiropractors follow a standard routine to secure the information they need for diagnosis and treatment. They take the patient’s medical history, conduct physical, neurological, and orthopedic examinations, and may order laboratory tests. X rays and other diagnostic images are important tools because of the chiropractor’s emphasis on the spine and its proper function. Chiropractors also employ a postural and spinal analysis common to chiropractic diagnosis.

In cases in which difficulties can be traced to the involvement of musculoskeletal structures, chiropractors manually adjust the spinal column. Some chiropractors use water, light, massage, ultrasound, electric, and heat therapy. They also may apply supports such as straps, tapes, and braces. Chiropractors counsel patients about wellness concepts such as nutrition, exercise, changes in lifestyle, and stress management, but do not prescribe drugs or perform surgery.

Some chiropractors specialize in sports injuries, neurology, orthopedics, pediatrics, nutrition, internal disorders, or diagnostic imaging.

Many chiropractors are solo or group practitioners who also have the administrative responsibilities of running a practice. In larger offices, chiropractors delegate these tasks to office managers and chiropractic assistants. Chiropractors in private practice are responsible for developing a patient base, hiring employees, and keeping records.

Employment

Chiropractors held about 49,000 jobs in 2002. Most chiropractors are in solo practice, although some are in group practice or work for other chiropractors. A small number teach, conduct research at chiropractic institutions, or work in hospitals and clinics.

Many chiropractors are located in small communities. There are geographic imbalances in the distribution of chiropractors, in part because many establish practices close to chiropractic institutions.

Job Outlook

Job prospects are expected to be good for persons who enter the practice of chiropractic. Employment of chiropractors is expected to grow faster than the average for all occupations through the year 2012 as consumer demand for alternative healthcare grows. Chiropractors emphasize the importance of healthy lifestyles and do not prescribe drugs or perform surgery. As a result, chiropractic care is appealing to many health-conscious Americans. Chiropractic treatment of the back, neck, extremities, and joints has become more accepted as a result of research and changing attitudes about alternative, noninvasive healthcare practices. The rapidly expanding older population, with its increased likelihood of mechanical and structural problems, also will increase demand for chiropractors.

Demand for chiropractic treatment also is related to the ability of patients to pay, either directly or through health insurance. Although more insurance plans now cover chiropractic services, the extent of such coverage varies among plans. Increasingly, chiropractors must educate communities about the benefits of chiropractic care in order to establish a successful practice.

In this occupation, replacement needs arise almost entirely from retirements. Chiropractors usually remain in the occupation until they retire; few transfer to other occupations. Establishing a new practice will be easiest in areas with a low concentration of chiropractors.

Earnings

Median annual earnings of salaried chiropractors were $65,330 in 2002. The middle 50 percent earned between $44,140 and $102,400 a year.

Self-employed chiropractors usually earn more than salaried chiropractors. According to the American Chiropractic Association, in 2000, the average income for all chiropractors, including the self-employed, was about $81,500 after expenses. In chiropractic, as in other types of independent practice, earnings are relatively low in the beginning and increase as the practice grows. Geographic location and the characteristics and qualifications of the practitioner also may influence earnings. Self-employed chiropractors must provide for their own health insurance and retirement.

To help future doctors of chiropractic achieve their career goals, New York Chiropractic College offers a unique educational program that gives students access to many career possibilities. The backbone of this program is an integrated curriculum that features extensive and varied clinical experiences. The end result is a graduate that is educated, experienced, and empowered to be a successful doctor of chiropractic. For more information:

www.nycc.edu enrolnow@nycc.edu 1-800-234-NYCC